Medical Center Family Practice

LBN: Medical Center Family Practice
Medical Center Family Practice is an health care organization with primary practice located at 45 Medical Center Ct , Commerce GA 30529-1085. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Medical Center Family Practice can be contacted via phone (706) 335-5155, or through Marshburn, Robert via phone (706) 335-5155.

Contact Information

Primary practice address
45 Medical Center Ct Commerce GA 30529-1085
Fax: (706) 335-5256
Website:
Authorized official contact:
Name: Marshburn, Robert Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 030139 Georgia

Profile Details

NPI number 1104025717
LBN Legal business name Medical Center Family Practice
DBA Doing business as
Authorized official Marshburn, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2007
Last updated Jul 13th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104025717 NPPES
Georgia MEDICAID 00410484A
Georgia Other D46015

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